NPI | 1093139131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011234) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041416829) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2024-03-11 |